Metabolic acidosis Symptoms

Most symptoms are caused by the underlying disease or condition that is causing the metabolic acidosis. Metabolic acidosis itself usually causes rapid breathing. Confusion or lethargy may also occur. Severe metabolic acidosis can lead to shock or death. In some situations, metabolic acidosis can be a mild, chronic (ongoing) condition.

Tests and Exams

Arterial blood gas

Serum electrolytes

Urine pH

Arterial blood gas analysis and a serum electrolytes test (such as a basic metabolic panel) will confirm acidosis is present and determine whether it is respiratory acidosis or metabolic acidosis.

Other test may be needed to determine the cause of the acidosis.

Treatment of Metabolic acidosis

Treatment is aimed at the underlying condition. In some cases, sodium bicarbonate (the chemical in baking soda) may be given to reduce the acidity of the blood.

Prognosis (Outlook)

The outlook will depend on the underlying disease causing the condition.

Potential Complications

Very severe metabolic acidosis can lead to shock or death.

When to Contact a Health Professional

Seek medical help if you have symptoms of any disease that can cause metabolic acidosis.

Prevention of Metabolic acidosis

Diabetic ketoacidosis can be prevented by keeping type 1 diabetes under control.

References

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Review Date: 10/29/2013
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.

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